Smith, John
Smith, John was paid $36K by Medicaid between Jan 2018 and Jan 2021, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.
33Billing provider infoSMITH, JOHN
ELYRIA, OH 44035
ELYRIA, OH 44035
33aNPI1225244106assigned 05/15/2007
33bProvider typeOptometrist
28Total paid$36K
24GClaims2,369
24DCodes billed10
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#572 of 1,098
Median peer was paid$41K
This provider vs. median0.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 567 | $8K | |
| 2019 | 767 | $7K | |
| 2020 | 1,023 | $21K | |
| 2021 | 12 | $517.65 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 44% | 392 | 372 | $16K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 121 | 121 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 181 | 179 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 205 | 191 | $4K |
| V2020 | Frames, purchases | 9.4% | 209 | 203 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 9.3% | 183 | 181 | $3K |
| 92015 | Determination of refractive state | <1% | 162 | 162 | $40.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 257 | 237 | $0.00 |
| 1036F | 0% | 280 | 256 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 379 | 356 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.